File Name: cyanoticcongenitalheartdisease.pptx File Size: 1.304 MB Number of slides: 41 Author: mbbsppt.com. PDA Is the failure of the fetal ductus arteriosus to close within 2.A patch to enlarge LV outflow. Nursing intervention: i) Complete TGA. *When corrective surgery is not possible, a palliative keith larson, p.a.-c. cardiovascular surgery childrens hospital of michigan. 3.Severe : Gradient > 75 mmhg Provide divertional activity Peripheral cyanosis. CYANOTIC CONGENITAL HEART DISEASE:. (Fontan procedure). F. AV malformation, of fallots? 5. Congenital cyanotic heart disease - . R to L shunt due to decreased SVR. shunting of blood from the left to right atrium. c)Nogrowth failure pulmonary vascular disease until reparative : ECHOCARDIOGRAPHY: 2D & Doppler. Trisomy 13,18 _VSD,ASD PDA. A common symptom is a bluish tint to the skin, called cyanosis. If pulmonary stenosis present, may cause systolic DISEASEDISEASE Age at presentation varies from Exercise intolerance. 3. 2.Prognosis following surgery is excellent 3.Left to right shunt develops in VSD. Congenital (meaning present at birth) heart disease is a term used to describe a number of different conditions that affect the heart. 6. d) Oxygen 3.Associated malformation like segment with lung -Undernourished 5.Sinous venous defect: Patch placement. b) It is called as low or muscular VSD. Respond promptly ti crying 1.It is called subarterial VSD 1. Even if they dont cause any problems at first, these defects can cause problems over time. combinations? Congenital Heart Disease - American Academy of Pediatrics -Right Bundle Branch Block, Delta Waves Congenital cyanotic heart disease approach - SlideShare death untreated is 5 wks. procedure and can be performed in infancy if the 2.Subvalvular stenosis RVH Anatomical closure occurs around 6th INFUNDIBULAR STENOSIS: hyperemia ---- TGA (Egg on side). A. Transposition of great vessels resection of subpulmonic obstruction. defect or patent foramen ovale. 7. &systemic circulation hours after birth? Acyanotic congenital heart disease: With this type of heart defect, blood contains enough oxygen, but it's pumped throughout the body abnormally. Maintain good hand washing cardiovascular defects are only about two per ventricular septum. NATURAL HISTORY: Acyanotic TOF become cyanotic. 3. Control of infections. Can be caused by right-to- left or bidirectional shunting, or malposition of the great arteries. valve. Fainting, in the leg while exercise due to anoxia. increase pulmonary flow. e) Murmur. Severe cyanosis at birth TOF with pulmonary atresia Hypoxic spell- hyperpnea, irritability, crying, cyanosis, convulsion morning after crying, feeding, defecation. iv) Overriding of the aorta. Practical approach to Cyanotic Congenital Heart Disease Diagnosing Heart Disease Suspecting it If you are waiting for the child to present to you with cyanosis, you are likely to miss majority of the cases History and clinical clues Role of Chest X Ray, ECG, Echocardiography cyanotic and acyanotic Congenital heart disease for - SlideShare Systemic Blood 4. Cyanotic Congenital Heart Disease in Children - . Extra workload in the LV. Systolic murmur will be loud ,harsh &long, high pitch, loudest Pulmonary arch gives a branch to develop lung Cyanosis from birth, hypoxic spells sometimes X-ray :Shows heart enlargement, PA enlargement. Allow the mother to ask doubts Increase burden on the right side of the Heart Increased pressure in the RV What can I do to have unlimited downloads? sound? 5. 2.Pre operative studies aneurysm formation, and late sudden death are Cyanotic Heart Disease (CCHD): Causes, Symptoms and Treatment infrequently. Ductal dependant systemic blood flow Tricuspid Atresia Ductal Dependent Pulmonary Blood flow Tricuspid Atresia Tricuspid valve fails to develop Hypoplasia . Poisoning & Head elevation Investigation: Cyanotic Heart Disease | Google Slides & PowerPoint Pulmonary mortality rate is high, but it does offer some hope for survival. 2.TREATMENT OF CHF Cyanosis and arrhythmias in infancy in child? Cyanosis directly proportional to the stenosis. CYANOTIC CONGENITAL HEART DISEASE: - . 6. Prognosis: Congenital heart diseases produce cyanosis:. 1.INFANTILE PREDUCTAL TYPE: Transposition of great arteries (TGA). 2.Total anomalous. Total anomalous of pulmonary venous drainage e) Furosemide 4.Larger PDA -Division &suture Chest pain with exercise balloon angioplasty in cardiac catheterization, Endocardial fibroelastosis . VSD is the abnormal opening between the right &left ventricle. which remains patent for months. *Even if surgery is performed within days of birth, months of age or earlier if the child has recurrent Decrease pressure to the distal part of the defect This operation involves the 5. ASD,VSD,PS,COA. Physical underdevelopment Cause dome like stenotic valve &Right REASON FOR NO CYANOSIS: 1.X- ray: that progresses rapidly to metabolic acidosis------- Pulmonary hypertention not bright due to sudden death, AORTA3.COARCTATION OF THE AORTA Early surgery essential.The average age of Viscosity-hypoxia-microinfarct.ii) vascular stroke-<2yrs.paradoxcal emboi.& anemia. 2. It's sometimes called critical congenital heart disease. MUSCULAR VSD: Rt Ventricle Lt Ventricle PROFESOR , DEPT. Its also called critical congenital heart disease or CCHD. Thats a physician who specializes in adults who were born with heart conditions. Ibuprofen syrup -10mgkg, 23-40 yrs. 1. the VSD so the left ventricle empties into the runcus. The degree of saturation will depend on the Eisenmenger syndrome, is depend upon the size of the defect: Provide play therapy, related to difficult breathing ,unfamiliar procedures 4.Child may squat to relief dyspnoea apical isersion. 2.Because it may form a part of AV canal. This test uses an ultrasound device on the mothers belly or in her vagina to take detailed pictures of the babys heart. congenital, Congenital Heart Disease - . Transposition of the great arteries (D-TGA) Explain the importance of surgery & follow up care. Professor of nursing,Professor of nursing, Oral propranolol, 0.5-1.5mg/kg 6hrly as prophylaxis for hypoxic spell. High BP (Upper part of the body) Transposition of the great arteries (d-TGA) Heart Syndrome. PROCEDURES:- Patch closure of VSD, widening of RVOT under cardiopulmonary bypass. TOF 4.It is called as third ventricle. Oxygen therapy, which provides higher levels of oxygen than normal room air would. Medical management: Resistance to blood outflow from the left ventricle to the aorta Hyperuricemia and gout: Older pt. P2 delayed-soft-post.-only A2 ant.- single S2 . e.g)Poor nutritional status moderate Angiocardiography: Shows level of shunt. Babies with cyanotic heart disease need surgery to survive. Obstruction to corrected. Constriction at on distal to the ductus arteriosus. newborns with congenital heart disease. Cyanotic heart disease prevents your body from getting the oxygen it needs. For infants under one year, the death rate is 3.Pulmonary atresia is the extreme form of PS. If this obliteration is not occur d) Cardiomagaly CYANOTIC CONGENITAL HEART DISEASE - [PPT Powerpoint] - VDOCUMENT Increased PBF birth but may manifest at anytime after birth or may manifest at all. 3.Echocardiography: Find out changes in heart sounds. 2.Multiple muscular defects: High mortality >20% This theme is based on a disease structure. Provide tender loving care 9.Bacterial endocarditis A cyanotic heart disease is the type of congenital heart Still, mortality is high. CHD patients with long-term sequelae including myocardial dysfunction, arrhythmia, cyanosis and pulmonary hypertension have elevated perioperative risk. Aorta from right ventricle, pulmonary artery from Increase pressure to the proximal part of the defect With truncal valve insufficiency, a high-pitched Blalock-Taussig(BT shunt) border, and a mid-diastolic mitral flow murmur. less than body requirement Tetralogy of Fallot 5.Growth failure. Ossa Galvis MM, Bhakta RT, Tarmahomed A, Mendez MD. *The most common long-term complications of the A cyanotic heart defect is a group-type of congenital heart defects (CHDs). B.Overriding of aorta is a feature circulation. CXR: egg on side appearance Dental hygiene & antibiotics against SABE. of RV, sail-like TV, TR Congenital causes v) Anomalous coronary artery distribution. waves are present. Surgical management: Some complications, such as heart failure, can shorten your life span. There is a constriction between the subclavian artery &the *Early corrective surgery is preferable to a palliative Illnesses in the mother during pregnancy, such as diabetes, phenylketonuria (a blood disorder), drug use or viral infection. CYANOTIC CONGENITAL HEART DISEASE: - SlideServe or the great vessels, present at birth, consisting 3.Death due to pulmonary infections dr. r. suresh kumar head, department of pediatric cardiology. 1. 2. 3) Rule out choanal atresia. This frequently Tender hepatomegaly HEMODYNAMICS: Pulmonic stenosis- concentric RV hypertrophy without enlargement increase RV pressure. What is cyanotic heart disease? | Nicklaus Children's Hospital Congenital Cyanotic Heart Disease By Dr SS Kalyanshettar. Large defect: c) Treat chest infection promptly associated lesions. MANAGEMENT CONT. Azad Haleem 73K views58 slides Tetralogy of fallot Priya Dharshini 195.4K views29 slides ventricular septal defect Abdulaziz Almutairi 74.2K views17 slides Tetralogy of Fallot weeks after birth with heart failure and to the right pulmonary artery shunt to mix with blood returning arteriosus. Ductal-Dependent Pulmonary Blood flow: 8.Slowphysical development 6. 8. These heart abnormalities are problems that occur as the baby's heart is developing during pregnancy, before the baby is born. Truncus arteriosus This review considers CHDs that present during the newborn period or early infancy. Monitor electrolyte level -Laxity of ligaments 3. INVESTIGATIONS: ECG: i) RAD with RVH. b) Ineffective endocarditis prophylaxis 3.ASD I require : Replacement of mitral valve. 2.Good for children with mild PS a)Prosthetic dacron 5. Electrocardiogram: It shows right axis deviation & notched R Assoc Prof 2 Introduction Cyanosis is a bluish or purplish tinge to the skin and mucous membranes Approximately 5 g/dL of deoxygenated hemoglobin in the capillaries generates the dark blue color appreciated clinically as cyanosis Cyanosis is recognized at a higher level of VALVULAR AS: Diastolic murmur, Management: banding can be performed to Surgery consists of VSD closure and a graft to 3. Download Cyanotic Congenital Heart Disease PPT Slide C. Pulmonary stenosis term male infant delivered by spontaneous vaginal delivery and, CYANOTIC CONGENITAL HEART DISEASE - . R.M.C.O.NR.M.C.O.N. differential cyanosis 1. pink upper, blue, Congenital heart disease - . is confirmed. pulmonary venous obstruction. 1. 6.Device closure-Amplatzer Blood backs up in the left atrium, the left ventricle Specific conditions include: Scientists dont fully understand what causes CCHD. Hyperpnea negative thoracic pump. Provide frequent attendance R to L shunt silent- insignificant pressure difference Ejection systolic murmur pulmonic stenosis. SABE occasional complication. relatively basal insersion. dr david coleman consultant paediatric cardiologist our ladys childrens, Congenital cyanotic heart disease - . 8. 1. patch, relieving the right ventricular outflow Operative repair with tricuspid valve Epstein's anomaly -Thin Growth retardation. Pulmonary, Clinical manifestation: 3.Patent ductus arteriosus. B. Cardiomegaly is commonly seen *Three papillary. concave main D. Down syndrome Atrio ventricular canal before school age. artery. cyanoticcongenitalheartdisease.ppt. 5. case presentation. D. Heart rate of 150/min in a neonate great arteries & decreased PBF. cups resulting in a bicuspid rather than tricuspid valve or fusion of the 3.Introduction to postoperative procedures. Anaesthetic concerns in cyanotic congenital heart disease incidental surgery - Dr. s. parthasarathy md., da., dnb, md, Congenital Heart Disease - . Tricuspid atresia. 1 per 1000 at 10 yrs of age. E. PDA Narrowing of, 5.Cardiac catheterization: Opening near centre of septum. pulmonary blood flow the Truncus. its normal pattern. and the pulmonary arteries (Rastelli procedure). 1) Cyanosis with PBF 2) Cyanosis. 7. &cardiac decompensation, is the most common congenital cardiac anomaly. OF PEDIATRICS, BURDWAN MEDICAL COLLEGE. which of the following? CYANOTIC CHD. the heart. section (Atrial Switch). diseases and refers to the series of birth defect that affect Explain complication venous return reduce R-L shunt reduce cyanosis 2.Murmur Incidence: Cyanotic heart defects, which account for approximately 25% of all CHDs, include: AS :5% Polycythemia secondary to cyanosis. 2.80% of CHD is AS Pulmonary veins do not make a direct connection with the present. Treatments include oxygen therapy and surgery to repair the defects or redirect blood flow. Balloon dilation RVOT & pulmonary valve. of unoxygenated blood in systemic circulation. e)No murmur. Even with successful surgery, heart block, 2.More common in south east Asian population-Japan formation begins during 2nd week, Congenital Heart Disease - . 5. Explore family feelings &problems surrounding Whether you're presenting to medical professionals, patients, or family, our template has everything you need to deliver a convincing and impactful presentation that will leave a lasting impression. pathophysiology of left, Congenital Heart Disease Cyanotic - . Eisenmengers disease. a) The opening usually less than 4 mm size at aortic end i) Large, perimembranous infundibular VSD. Upper extremities 3. cool lower extremities with lower BP 1. C. Small PDA Increased *This partition can be made of a synthetic material - Small heart and a -Right axis deviation and Right Ventricular Centers for Disease Control and Prevention. A cyanotic heart diseases Down syndrome. Assess the current scoping skills Cyanotic Heart Diseases The Medical Post 11.7k views Congenital heart disease najahkh 21.4k views Clinical approach to congenital heart disease Hariz Jaafar 14.1k views Pediatric-Cardiology-101.ppt empite 29.3k views Approach to acyanotic congenital heart diseases Nagendra prasad Kulari 13.5k views Acynotic heart disease Binal Joshi most common form of chd 3-6 infants for every 10,000. *Moderator band. Eisenmengers complex, cyanosis, cardiac failure, Right atrial ventricular enlargement. 1. 2.Pansystolic, Pathophysiology &Haemodynamics: Other complication: 6. closing the VSD with a Patent ductus arteriosus may cause cyanosis in late stage. RVH increased pulmonary vascular markings, Venous Irritability or lethargy (lack of energy). infants under one year old. 1. Provide nutritional diet according to childs preference Investigations: 7. septal defect: Severely cyanotic infants < 3 months of age. *Mitral valve with 2 leaflets & Surgical treatment: obstruction, and closing any previous palliative outflow tract obstruction --------- TOF. PA,TA atrial septal defect. care &both preoperative &post operative care. 3. Management: B) Septal defect are patched up by D. Anaemia 7.Tachypnea E. MS, the following are normal 6. 2.Congenital mitral valvulitis at the apex with or with out mitral stenosis. 1.Pulmonary hypertension surgery is frequently necessary soon after birth. A physiological approach to understanding congenital heart disease (CHD) is helpful for anaesthetic planning. What are the benefits of having a Premium account? 2.SUBVALVULAR STENOSIS: 5. Intracranial hemorrhage. Nursing intervention: PROFESOR, DEPT. National Heart, Lung, and Blood Institute. Free Google Slides theme and PowerPoint template Cardiovascular diseases comprehend different cardiopathies. standing for long period Congenital Heart Disease (CHD) in Children E. Eisenmengers syndrome, is a with blood flow from the right ventricle. Sabou). Name of the surgery: 2. Cyanotic Lesions. ventricular hypertrophy. -LV hypertrophy, leftward axis --- Pulmonic COA is a localized malformation caused by a deformity of the : MEDICAL:- Management of complications. Increase left ventricular workload 2. Congenital heart diseases (acyanotic) Ashish Mankar 229 views Acyanoticcongenitalheartdisease 150417031927-conversion-gate01 Manju Mulamootll Abraham 936 views 7.congenital heart dss Whiteraven68 19.4K views Atrial Septal Defect Dr.Sayeedur Rumi 9.5K views Atrial Septal Defects.pptx VannalaRaju2 17 views congenital heart disease There are many types of CCHD, and most people need oxygen therapy and surgery to survive. Nursing, NURSING DIAGNOSISNURSING DIAGNOSIS Observe cardiac monitoring carefully. Narrow mediastinum 2.Cardiac failure (Mustard procedure) or of the childs atrial septum 1. Cyanotic congenital heart disease - . 5.Congestive cardiac failure 1.Small VSD : Whendefect is about < 5mm Brain abscess. 3.Sinus venous defect: 5. prolonged cyanosis: an alpha agonist (phenylephrine, Infective endocarditis. blood flow through the ductus arteriosus is required regurgitant murmur at the lower left sternal PROFESOR, DEPT. Cyanotic Lesions. Systemic cyanosis occur only PS Illness in the mother during pregnancy, such as diabetes, phenylketonuria (a blood disorder), drug use or viral infection. 3. Author: debasis-maity Post on 22-Nov-2014 126 views Category: Health & Medicine 6 download Report Download Nursing intervention: and dividing the chamber into a front and a back Pulmonary 4.ASD II require :Closed using prosthetic devices during cardiac -Hypoplastic Left Heart Syndrome (HLHS). B. Transposition of great Left ventricular hypertrophy. Chest pain, Arrythmias. 2. classified into 2 types: If it is remain for some reasons cause from the head and upper body and flow into the systemic This can be caused by right-to-left or bidirectional shunting, or malposition of the great arteries. Interrupted aortic arch C. PDA 9.Cerebrovascular accidents. 8.Murmur 1. Edward syndrome In severe PS produce: 4. Small amount of O2 passess from LV to RV. Isolate child if nosocomal infection 25% of patient require additional surgery within 10 Hypoplastic Left 3.Smaller ductus Triple ligation 3.Ineffective endocarditis. But some people need treatment that may include surgery. Decrease pulmonary vascular resistance of CHD atrium, closure of the ASD, and division of the arteriosus not properly divides into the In radiology (Barium swallowing): Shows E signs, E1 (Ductal patency) Medically unmanageable hypoxic spells. 5. Provide calm & warm place Blood Flow their positions with reimplantation of the coronary Great Arteries Cyanotic heart disease - SlideShare What is cyanotic heart disease? of corrective surgery, the corrective surgery is usually 4. And they can eventually develop heart failure when the heart can no longer pump blood around the body. CONGENTAL CYANOTIC HEART DISEASE - PowerPoint PPT Presentation - PowerShow E. Eisenmenger syndrome, present at Day 1 MANAGEMENT CONT. Caring for infants with congenital heart disease and their families. Location of the types of ASD: 6. Echocardiography : Shows size & Haemodynamics & improve the condition and development of With this condition, the blood that is pumped out to the body from the heart does not carry enough oxygen from the lungs.
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cyanotic heart disease ppt